Please select the option that best describes you:
Topics:
Dermatology • General Dermatology
How do you dose oral tranexamic acid for melasma?
Given the side effect profile and risk of relapse off oral TXA therapy, do you prefer pulse dosing (i.e. 3 months on, 3 months off) or continuous therapy at the lowest effective dose?
Answer from: at Academic Institution
I typically do 325 mg BID (1/2 tab of 650mg) during May-Sept then off in the winter. Double layer of sunscreen: chemical then mineral over it. Two favorites are La Roche Posay Cooling Water Lotion SPF60 then Eucerin Sensitive Mineral Agave SPF35 over that every morning regardless of the days activit...
Sign in or Register to read more